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A Peculiar Peritoneum: A Case of Tuberculosis in a Male Without Known Risk Factors
Joshua Wynne1, Kimberline Chew1, Pooja Kothari1
1Montefiore Medical Center Department of Internal Medicine, Bronx, NY, USA.
Abstract:
Peritoneal tuberculosis is an uncommon diagnosis in developed countries and most commonly presents in patients with known risk factors for tuberculosis. We report a case of a patient without tuberculosis risk factors who presented with 4 years of intermittent fevers, several weeks of increasing abdominal distention, and newly discovered elevated liver tests. The diagnosis of peritoneal tuberculosis was confirmed following an extensive workup with a positive ascitic fluid culture for Mycobacterium tuberculosis. The patient's fevers resolved with antibiotic therapy, and antibiotic therapy was subsequently de-escalated based on the susceptibility profile.
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